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PLEASE READ 

If you do not see a confirmation page immediately after submission, do not close your window - application has not been received.

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YOU MUST BE A RESIDENT OF MONTEREY COUNTY TO BE CONSIDERED FOR FINANCIAL ASSISTANCE.

WE PRIMARILY ASSIST LOW TO ZERO INCOME FAMILIES, PLEASE CONSIDER THIS BEFORE APPLYING.

CLIENT APPLICATION FOR SUPPORT

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If you answered no, you are not eligible for assistance through Max's Helping Paws Foundation.
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Please note we are only able to assist responsible pet owners who current have low to zero income.
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If not, the maximum sponsorship to help you be seen by a vet will automatically be $500.
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* Financial assistance has a limit of assistance for one pet/one situation/one family/one-year.
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PET INFORMATION

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We are only able to assist with dogs/cats at this time.
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Provide as much detail as possible such as how this illness or injury occurred and why you are applying for assistance. Incomplete information may delay processing.
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(If you do not have a primary care veterinarian, explain why not here.)
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PET OWNER & SPOUSE/PARTNER/PET CO-OWNER INFORMATION

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First Name
Last Name
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First Name
Last Name


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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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HOUSEHOLD FINANCIAL INFORMATION

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ie CalWorks/CalFresh, CalWater (LIRA),PG&E (REACH)/PG&E (CARE),(CHIP), Disability, Social Security (SSI) or (SSP), AT&T Lifeline, HHS (HEAP), CHISPA, Medi-Cal for Aged and Disabled Covered California Silver Government Programs require proof of participation to be used to meet proof of need requirement
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Your application cannot be processed until this is received.


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DOCUMENTATION/APPLICATION SUPPORT - REQUIRED (ID, PROOF OF FINANCIAL NEED, PET PHOTO) 

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Ideally LANDSCAPE Orientation (Camera turned on side)
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You must submit either through form or by sending photo of your ID/DL to admin@maxshelpingpaws.org
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Can be Paystub, Employer Letter, Bank Account, Tax Return Page, other.

Your application cannot be processed until this is received, unless you have shown proof of inclusion in a government program. When you apply, TAKE A PHOTO with your phone of the instant decision - otherwise it takes 8-10 days to receive via mail.



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BY SUBMITTING THIS APPLICATION, I CONFIRM I UNDERSTAND AND AGREE TO THE BELOW:
  • If I have Care Credit funds, I may be asked to use some available credit towards the pet's treatment unless I show documentable proof of need to use it elsewhere.
  • Pets that receive MHPF funding must be spayed or neutered unless medically not advised or other approved reason. If my pet is not spayed/neutered at the time funding is given, I agree to have my pet spayed/neutered within 90 days.
  • I provide consent for MHPF to share my application in order to secure additional funding in connection with my request for financial assistance from MHPF
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I agree to allow MHPF to interview me and will share photos and videos to be used for fundraising purposes. Follow-up after recovery is a requirement of this grant. I consent to use of my pet’s name, image & story by MHPF for website, PR, and other marketing purposes, AND I will cooperate with MHPF to schedule photos, interviews or video as necessary for their use.